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Maternal, Child Health and Neonatal Nursing Commons

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Gavage Program For The Preterm Infant, Amanda K. Guina 2017 University of San Francisco

Gavage Program For The Preterm Infant, Amanda K. Guina

Master's Projects and Capstones

Preterm infants in the Neonatal Intensive Care unit, are susceptible to hospital acquired infections due to their immature immune systems. To mitigate this occurrence a change project will be implemented to decrease the incidence of nosocomial infection in this population. The project will be focusing on preterm infants working on full nipple feeds. Our project is aiming to discharge this population home with a nasogastric tube to work on feedings, rather than remaining in the hospital. Chart Audits were conducted pre-program and found approximately 18 patients acquired blood stream infections and 2 acquired MRSA. The method used to assist in ...


Infection Control: Reducing Hospital Acquired Central Line Bloodstream Infections, Bobbie Joy Hollins 2017 University of San Francisco

Infection Control: Reducing Hospital Acquired Central Line Bloodstream Infections, Bobbie Joy Hollins

Master's Projects and Capstones

Hospital-acquired infections are a leading cause of morbidity and mortality in neonatal intensive care units (Ceballos, Waterman, Hulett, & Makic, 2013). It’s estimated that each neonatal bloodstream infection costs about $35,000 and adds about two weeks to a baby’s hospital stay (Akron's Children Hospital, 2015). This project was formulated to reduce the incidence of central line blood stream infections in the neonatal population. The setting used for this project was a 40 bed Level III Neonatal ICU. The methods executed include: conducting a root-cause analysis and formulating a unit survey. Kurt Lewin’s Three-Step Change Model was ...


Safe Sleep In The Nicu Environment For Sids Prevention, Renee J. Aumua 2017 University of San Francisco

Safe Sleep In The Nicu Environment For Sids Prevention, Renee J. Aumua

Master's Projects and Capstones

Abstract

Sudden Infant Death Syndrome(SIDS) remains a leading cause of death for infants less than one year of age. Historically, Neonatal Intensive Care units have been exempt from following SIDS safe sleep guidelines recommended by the American Academy of Pediatrics(AAP) for SIDS prevention due to patient medical status and environment. However, in 2011 these guidelines were updated by the AAP to include NICU specific recommendations. This is a very important change due to this patient population being at a higher risk for SIDS than the term, well newborn. The Safe Sleep project was conducted in a 35 bed ...


Implementing An Evidence-Based Education Program For Labor And Delivery Nurses In A Community Hospital Setting, Sara E. Humphrey 2017 Bellarmine University

Implementing An Evidence-Based Education Program For Labor And Delivery Nurses In A Community Hospital Setting, Sara E. Humphrey

Graduate Theses, Dissertations, and Capstones

Many factors contribute to the success of an organization. The nursing workforce is the guiding strength behind the delivery of safe patient care resulting in quality outcomes. Preparing the nursing staff to deliver safe care begins with the introduction of evidence based practice as a viable partner to clinical expertise and knowledge. Implementing an evidence based education program is a critical step in the process of integrating evidence into clinical practice. This paper focuses on the implementation of an evidence based education program or Labor and Delivery nurses in a community hospital setting. Evidence based education can promote competency development ...


Effect Of Activity Trackers And Text Messaging On Exercise, Fitness, And Physical Activity Self-Efficacy Of Middle School Students, Alison F. Pittman 2017 University of Texas at Tyler

Effect Of Activity Trackers And Text Messaging On Exercise, Fitness, And Physical Activity Self-Efficacy Of Middle School Students, Alison F. Pittman

Nursing Theses and Dissertations

A decrease in physical activity as children age is a contributing factor to the U.S. obesity epidemic. Middle school children are particularly vulnerable to sedentary activities. Activity trackers show promise as a means to motivate children and adults to increase physical activity (PA). This study examined the effect of a text messaging intervention and use of activity trackers with a companion social website on the body mass index (BMI), body fat percentage, physical fitness, and PA self-efficacy of middle school children. Children aged 11-14 (n=102) were randomly assigned to one of three groups for a 10-week intervention: activity ...


Psychometric Evaluation Of The Nursing Child Assessment Teaching (Ncat) Scale In Two Samples Of Mothers And Children, Samantha H. Ransone 2017 University of Tennessee Health Science Center

Psychometric Evaluation Of The Nursing Child Assessment Teaching (Ncat) Scale In Two Samples Of Mothers And Children, Samantha H. Ransone

Theses and Dissertations (ETD)

The mother-child relationship (MCR) has received an increasing amount of attention over the last several decades regarding its effect on long-term child development. Because the quality and quantity of interactions in the MCR have been established as important predictors of the child’s development, early identification of areas in the relationship requiring support and intervention is essential for promoting positive child outcomes. Observational assessment of the mother and child is considered best practice in evaluating maternal-child interaction (MCI). The Nursing Child Assessment Teaching (NCAT) scale is an instrument that has been used to quantify the quality of interaction in the ...


Perceptions Of Male Nursing Students About Working In Women’S Health, Jose Mari Lawrence Mitra 2017 East Tennessee State University

Perceptions Of Male Nursing Students About Working In Women’S Health, Jose Mari Lawrence Mitra

Undergraduate Honors Theses

This study explores the opinions and experiences of East Tennessee State University (ETSU) male nursing students after they have completed their clinical rotations in obstetrics (OB). Participants are interviewed about their preconceptions and post-experience perspectives regarding the clinical rotation. After analyzing the interviews, the students’ perceptions appeared to be grounded in their perceived level of comfort with women’s health nursing. Themes include (1) preconceptions, (2) welcoming, (3) rejecting, and (4) culture.


The Relationship Between Promoting Self-Efficacy And Informed Decision-Making In Pregnant Nulliparous Women And Method Of Delivery, Crystal Hunter 2017 Dominican University of California

The Relationship Between Promoting Self-Efficacy And Informed Decision-Making In Pregnant Nulliparous Women And Method Of Delivery, Crystal Hunter

Senior Theses and Capstone Projects

This presentation will cover the relationship between the concepts of decreased self-efficacy in pregnant women’s abilities to deliver their babies vaginally, fear of the pain and duration of labor process, and the acceptance of medical intervention without sufficient intrapartum education surrounding delivery methods. These interrelated variables impede the concept of informed choice. The current state of the problem surrounds women with low self-efficacy who are predicted to have negative childbirth experiences such as, consenting to an astronomically high rate of cesarean sections. The focus for nursing is that low-risk, healthy women who elect cesarean sections without the knowledge that ...


The Effects Of Maternal Substance Use On Gestational Development And Neonates, Kelly McElligott 2017 Salem State University

The Effects Of Maternal Substance Use On Gestational Development And Neonates, Kelly Mcelligott

Honors Theses

This paper will focus on the effects of maternal substance use on the gestational development of neonates. The research for this paper will be gathered through a systematic review of the literature, which will include both quantitative and qualitative peer-reviewed articles published within the last six years. The articles will be gathered using databases including CINAHL and EBSCO. The research will include many substances that can have an effect on gestational development including alcohol, cannabis, amphetamines and opioids. The articles will not be limited to a specific maternal age range or ethnic or racial background, but rather all of the ...


The Effects Of Continuous Insulin Pump Therapy On Glycemic Control In Pregnant Type 1 Diabetics, Kimberly Kelsey 2017 Dominican University of California

The Effects Of Continuous Insulin Pump Therapy On Glycemic Control In Pregnant Type 1 Diabetics, Kimberly Kelsey

Scholarly & Creative Works Conference 2018

Type 1 Diabetes Mellitus accounts for approximately 5% of the diabetic population (CDC, 2015). Numerous complications must be avoided when a diabetic is insulin dependent. Women who are diabetic who are planning to conceive a family have special considerations. Little research has been focused into how to best manage Type 1 diabetics during pregnancy. Since Type 1 diabetes is predominantly diagnosed between birth and 30 years of age, many Type 1 diabetics have potential to become pregnant without knowing how to best manage their diabetes. Poor glycemic control in diabetics has been related to miscarriages, stillbirths, malformations, and macrosomia (Lapolla ...


The Relationship Between Promoting Self-Efficacy And Informed Decision-Making In Pregnant Nulliparous Women And Method Of Delivery, Crystal Hunter 2017 Dominican University of California

The Relationship Between Promoting Self-Efficacy And Informed Decision-Making In Pregnant Nulliparous Women And Method Of Delivery, Crystal Hunter

Scholarly & Creative Works Conference 2018

This presentation will cover the relationship between the concepts of decreased self-efficacy in pregnant women’s abilities to deliver their babies vaginally, fear of the pain and duration of labor process, and the acceptance of medical intervention without sufficient intrapartum education surrounding delivery methods. These interrelated variables impede the concept of informed choice. The current state of the problem surrounds women with low self-efficacy who are predicted to have negative childbirth experiences such as, consenting to an astronomically high rate of cesarean sections. The focus for nursing is that low-risk, healthy women who elect cesarean sections without the knowledge that ...


Enhancing Nursing Students’ Understanding Of Oral Health: An Educational Intervention With An Interprofessional Component, Shelley Spurr Dr., Jill Bally Dr., Alyssa Hayes Dr., Marcella Ogenchuk Dr., Krista Trinder 2017 University of Saskatchewan, College of Nursing

Enhancing Nursing Students’ Understanding Of Oral Health: An Educational Intervention With An Interprofessional Component, Shelley Spurr Dr., Jill Bally Dr., Alyssa Hayes Dr., Marcella Ogenchuk Dr., Krista Trinder

Quality Advancement in Nursing Education - Avancées en formation infirmière

Oral health is integral to general health and essential for well-being, and therefore, should be prioritized in pediatric nursing education. The purpose of this pilot study was to examine if an oral health education intervention with an Interprofessional Education (IPE) component delivered to third-year baccalaureate nursing students would improve their knowledge of pediatric oral health care. Nursing students (n=99) from a Bachelor of Nursing program in a mid-Western Canadian university completed a survey before and after receiving the educational intervention which included a two-hour lecture from a Dentistry faculty member and a one-hour clinical lab in which nursing students ...


Neonatal Implications Of Substance Use Treatment During Pregnancy, Michele K. Savin, MSN, NNP-BC 2017 School of Nursing, Thomas Jefferson University

Neonatal Implications Of Substance Use Treatment During Pregnancy, Michele K. Savin, Msn, Nnp-Bc

College of Nursing Faculty Papers & Presentations

I am writing in response to “Pharmacologic Treatment of Opioid Addiction During Pregnancy” by Keough and Fantasia (2017). The article nicely compares and summarizes the use of methadone and buprenorphine to treat substance use in pregnant women. I was dismayed, however, by the sections regarding neonatal considerations and breastfeeding, which contained some problematic assertions and some inaccurate conclusions.


Critical Analysis Of Breastfeeding Education Provided In The Hospital, Abigail Sweet 2017 University of Rhode Island

Critical Analysis Of Breastfeeding Education Provided In The Hospital, Abigail Sweet

Senior Honors Projects

The World Health Organization (W.H.O) recommends exclusive breastfeeding for the first six months of an infant’s life. A large majority of new mothers are making the decision to breastfeed their newborn child. According to the Centers for Disease Control and Prevention, as of 2016, high breastfeeding initiation rates show that most mothers in the U.S. want to breastfeed and are trying to do so. However, there are several indicators that suggest that mothers may not be getting the support they need and the early postpartum period is a critical time for establishing support for breastfeeding. Depending ...


The Benefits Of Breastfeeding, Annagrace E. Anderson 2017 Liberty University

The Benefits Of Breastfeeding, Annagrace E. Anderson

Senior Honors Theses

Breast milk is the gold standard for infant nutrition. In the past, infant formula was promoted as equal or superior to breast milk. However, research has shown that breastfeeding is the superior form of infant nutrition except in rare circumstances. Breast milk provides for all of a newborn’s caloric needs and has the correct balance of nutrients to promote proper development. In addition, breast milk provides protection against illnesses, supports an infant’s immune system, and promotes life-long health for the newborn. Mothers also experience personal benefits by breastfeeding such as decreased cancer risks, bonding with their babies, and ...


Challenges And Facilitators Of Recruitment: Lessons Learned From Conducting A Focused Ethnography In A Vulnerable Rural Population, Debra Kramlich, Rebecca Kronk, Karen Jakub 2017 Duquesne University

Challenges And Facilitators Of Recruitment: Lessons Learned From Conducting A Focused Ethnography In A Vulnerable Rural Population, Debra Kramlich, Rebecca Kronk, Karen Jakub

The Qualitative Report

The purpose of this article is to describe the challenges and facilitators of recruitment encountered in an ethnographic dissertation study of rural women with substance use disorders during the perinatal period. While the study is being conducted in the hospital setting post-delivery, potential participants who meet inclusion criteria are identified by practitioners through a number of perinatal practices within a wide geographic area as well as by inpatient social workers. Recruitment in this vulnerable and often socially disadvantaged population has been found to be challenging with regard to ethical approval, participant eligibility and availability, practice changes, and discrepancies in the ...


Brookings Supports Breastfeeding: Using Public Deliberation As A Community-Engaged Approach To Dissemination Of Research, Jenn Anderson, Rebecca A. Kuehl, Sara A. Mehltretter Drury, Lois Tschetter, Mary Schwaegerl, Julia Yoder, Heidi Gullickson, Jammison Lamp, Charlotte Bachman, Marilyn Hildreth 2017 South Dakota State University

Brookings Supports Breastfeeding: Using Public Deliberation As A Community-Engaged Approach To Dissemination Of Research, Jenn Anderson, Rebecca A. Kuehl, Sara A. Mehltretter Drury, Lois Tschetter, Mary Schwaegerl, Julia Yoder, Heidi Gullickson, Jammison Lamp, Charlotte Bachman, Marilyn Hildreth

Communication Studies Publications

Empirical evidence demonstrates myriad benefits of breastfeeding for mother and child, along with benefits to businesses that support breastfeeding. Federal and state legislation requires workplace support for pumping and provides protections for public breastfeeding. Yet, many are unaware of these laws, and thus, support systems remain underdeveloped. We used a community-based approach to spread awareness about the evidence-based benefits of breastfeeding and breastfeeding support. We worked to improve breastfeeding support at the local hospital, among local employers, and throughout the broader community. Our coalition representing the hospital, the chamber of commerce, the university, and local lactation consultants used a public ...


The Effectiveness Of Combined Appointments And Influenza Immunization Rates In A Rural Wic Population, Lisa L. Sitler 2017 University of Missouri-St. Louis

The Effectiveness Of Combined Appointments And Influenza Immunization Rates In A Rural Wic Population, Lisa L. Sitler

Dissertations

Purpose: The purpose of this descriptive retrospective study was to examine predictors and barriers to influenza immunizations receipt in a low-income WIC population.

Method: A quality improvement project was conducted in October 2010 in which 129 caregivers of children having WIC appointments were randomly assigned to receive (a) influenza immunizations at the time of the WIC visit or (b) educational materials and a later immunization. Caregivers completed a survey about their perceptions of influenza immunizations. Tanahashi’s access to care model (1978) was used to identify predictors (acceptability, accessibility, availability, and effectiveness) of influenza immunizations.

Analysis: In analysis of data ...


Health Benefits Of Breastfeeding For Infants, Leading To Developmental Differences Between Breast-Fed And Formula-Fed Infants, Heidi Holloway 2017 Salem State University

Health Benefits Of Breastfeeding For Infants, Leading To Developmental Differences Between Breast-Fed And Formula-Fed Infants, Heidi Holloway

Honors Theses

This systematic literature review of health benefits of breastfeeding for infants serves to educate mothers about any potential developmental differences between breast-fed and formula-fed infants. Many factors go into a mother’s decision regarding feeding methods, but there may be gaps in knowledge that are important and significant between feeding methods. Breastfeeding vs. formula feeding has become a controversial social issue in our society. Other literature reviews as well as qualitative and quantitative studies were reviewed in order to clarify which method is better, specifically in terms of infant development and why. Analysis and review of data from these studies ...


Infection Control In Labor And Delivery Room, Learning From The Small Hospital Based Project, Savera Aziz Ali, Sumera Aziz Ali 2017 Aga Khan University

Infection Control In Labor And Delivery Room, Learning From The Small Hospital Based Project, Savera Aziz Ali, Sumera Aziz Ali

School of Nursing & Midwifery

Background: It has been estimated that around 36% of the neonatal deaths occur due to infection in the lower and middle income countries. Infection control is a more substantial area of concern, particularly in Labor and delivery room. Multiple factors can cause infection in the labor room, therefore it is important to assess various factors of maternal and neonatal infection. Hence we explored multiple factors through this project and developed the action plan to address those factors effectively.
Methods: During our Leadership and Management course, we conducted a project in Labor room pertaining to a prevalent issue. The whole process ...


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